Medicare Part D

AMCP Submits Comments to CMS on Medicare Advantage and Medicare Part D Proposed Rule

AMCP submitted comments to CMS in response to its proposed rule for technical changes to the Medicare Prescription Drug Benefit Program. AMCP offered comments on the following areas of the proposed rule: drug management programs, Medication Therapy Management, benefit design & utilization management, health information technology & data interoperability, and fraud, waste, & abuse.
Legislation & Regulation, Fraud, Waste and Abuse, Medicare Part D, Medication Therapy Management (MTM)

AMCP Submits Comments to CMS on Medicare Advantage and Medicare Part D Proposed Rule

The Academy of Managed Care Pharmacy (AMCP) thanks the Centers for Medicare & Medicaid Services for the opportunity to provide comments in response to the proposed rule “Medicare Program; Contract Year 2019 Policy and Technical Changes to the Medicare Advantage, Medicare Cost Plan, Medicare Fee-for-Service, the Medicare Prescription Drug Benefit Programs, and the PACE Program [CMS-4182-P]” published in the Federal Register on November 28, 2017.
Medicare Part D

AMCP Summary: Medicare Part D Technical Changes Proposed Rule

On November 16th, 2017, CMS released a much anticipated proposed rule that amends regulations for Medicare Part C and Medicare Part D to implement provisions of the Comprehensive Addiction and Recovery Act (CARA) and the 21st Century Cures Act. The proposed rule also makes changes to improve program quality, accessibility, and affordability and also adopts the updated NCPDP script standard for electronic prescribing.
Legislation & Regulation, Fraud, Waste and Abuse, Medicare Part D, Medication Therapy Management (MTM)

AMCP Submits Comments to CMS Advocating for Transformation and Modernization of the Medicare Part D Program to Best Meet the Individual Health Care Needs of Medicare Beneficiaries

The Academy of Managed Care Pharmacy (AMCP) thanks the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) for the opportunity to provide comments in response to the request for information (RFI) for Medicare Advantage (MA) and Medicare Part D programs included in the “Announcement of Calendar Year (CY) 2018 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter and Request for Information” released on April 3, 2017.
Medicare Part D

AMCP Submits Comments to CMS on the Average Length and Cost to Mail the Medicare Part D MTM Standardized Format, Continuing to Advocate for Modernization of the Standardized Format

The Academy of Managed Care Pharmacy (AMCP) is writing to express concerns with specific provisions of House Bill 1273 regarding the regulation of biological products and the substitution of interchangeable biological products when dispensed by pharmacists.
Medicare Part D

AMCP Submits Comments to CMS on the Medicare Part D MTM Program Standardized Format Urging CMS to Work with the Pharmacy Profession to Modernize, Test, and Validate Alternate Formats to Maximize its Intended Benefit for Medicare Beneficiaries

The Academy of Managed Care Pharmacy (AMCP) thanks the Centers for Medicare and Medicaid Services (CMS) for the opportunity to provide comments on the notice titled “CMS-10396 Medication Therapy Management Program Improvements” published in the Federal Register on October 31, 2016. Under the notice, the Medicare Part D Medication Therapy Management (MTM) Program Standardized Format (“standardized format”) would be reauthorized in its current format for an additional three years through 2020.
Medicare Part D

AMCP Submits Comments in Support of CMS Medicare Part D Reporting Requirements for CY2017

The Academy of Managed Care Pharmacy (AMCP) thanks the Centers for Medicare and Medicaid Services (CMS) for the opportunity to provide comments in support of the notice titled “Medicare Part D Reporting Requirements and Supporting Regulations (CMS-10185)” published in the Federal Register on May 6, 2016. Under the notice, Part D sponsors would be responsible for submitting Medication Therapy Management (MTM) program reports as described in Title I, Part 423, Subpart D, § 423.153 for CY2017 by the last Monday of February in 2018.
Medicare Part D